Individual
JILLIAN LOUISE LOTITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
57 W MAIN ST # 260, CHEHALIS, WA 98532-4815
(360) 261-6930
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
(503) 223-6837
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201811044
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60920133
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP 9325109
FL
Other
Enumeration date
03/17/2014
Last updated
04/30/2020
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